Do United States' teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review.
Do United States' teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review.
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DOI：
10.1155/2015/624828
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发表时间：
2015-01-01
影响因子：
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通讯作者：
Reznik, Marina
中科院分区：
文献类型：
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作者：
Jaramillo, Yudilyn;Reznik, Marina
在学校进行适当的哮喘管理对于实现哮喘儿童的最佳哮喘控制非常重要。国家心脏、肺和血液研究所（NHLBI）制定了课堂哮喘管理指南。我们进行了一个系统的审查，以检查教师的知识NHLBI指南哮喘管理在课堂上。我们使用搜索词“哮喘管理”、“教师”、“学校教师”和“公立学校”搜索PubMed和EMBASE。纳入标准是1994年至2014年5月期间以英文发表的文章，主要关注美国的学校。从535篇标题和摘要中，有9篇研究符合纳入标准。所有的研究都表明学校教师不了解哮喘管理的政策和程序。老师们依靠学校的护士来处理医疗紧急情况。一些研究发现，缺乏全职学校护士是哮喘管理的一个障碍。只有一项研究直接表明，课堂教师没有遵循NHLBI关于哮喘管理的指导方针。我们的文献综述显示，美国教师在课堂上不了解NHLBI关于哮喘管理的指南。未来的研究应侧重于针对培训课堂教师哮喘管理的干预措施，根据NHLBI指南，最终改善学校的哮喘管理。
Proper asthma management in schools is important in achieving optimum asthma control in children with asthma. The National Heart, Lung, and Blood Institute (NHLBI) has developed guidelines on classroom asthma management. We conducted a systematic review to examine teacher knowledge of the NHLBI guidelines on asthma management in the classroom. We searched PubMed and EMBASE using search terms "asthma management," "teacher(s)," "school teacher," and "public school." The inclusion criteria were articles published in English from 1994 to May 2014 that focus on schools in the United States (US). From 535 titles and abstracts, 9 studies met inclusion criteria. All studies reported that school teachers did not know the policies and procedures of asthma management. Teachers relied on school nurses to handle medical emergencies. Some studies identified that lack of full-time school nurses was a barrier to asthma management. Only one study showed directly that classroom teachers were not following the NHLBI guidelines on asthma management. Our literature review revealed that US teachers do not know the NHLBI guidelines on asthma management in the classroom. Future research should focus on interventions targeted toward training classroom teachers on asthma management as per NHLBI guidelines to ultimately improve asthma management in schools.